Alegeus Technologies Announces eClaims Manager to Automate Benefit Account Adjudication Processes and Improve the Participant Experience
Published on February 13th, 2014
Alegeus Technologies, the market leader in healthcare and benefit payments, today announced the release of eClaims Manager – new functionality within its benefit account administration and debit card processing platform that allows administrators to receive insurance carrier claim data feeds for use in automating claims adjudication and reimbursement processes.
By leveraging carrier claim data within their benefit account administration platform, administrators are in a position to create tremendous adjudication efficiencies and cost advantages for their business operations, while empowering participants to take control of their healthcare expenses.
Through pre-built integration between Alegeus and its claims partners, administrators can receive automated carrier claim data feeds directly into the Alegeus account administration system – which can then be used to auto-substantiate debit card transactions, as well as automate adjudication and reimbursement processes.
Additionally, administrators can make carrier claim data available for presentment via online participant portals – giving participants greater control over their healthcare expenses with the ability to view, manage, and make payments directly from their benefit accounts.
Integrating carrier claim data into the benefit administrators' workflow creates unprecedented efficiencies, reducing the time and resources required to substantiate card transactions and adjudicate claims,” said Tom Torre, Alegeus Chief Executive Officer. “From the participant’s perspective, having the ability to view, manage, and make payments directly from their benefit accounts is a very powerful next step in the consumer driven healthcare movement.
Alegeus is the market leader in consumer-directed healthcare solutions, offering an industry-leading benefits platform, benefit debit card and mobile app that are transforming the way people navigate the U.S. healthcare system. Our next-generation technology simplifies the administration of healthcare benefit accounts (including FSAs, HSAs, HRAs, wellness incentive, dependent care and commuter accounts), and uses data-driven insights to guide consumers to the right coverage, care and savings strategies. More than 350 Alegeus clients – including health insurance plans and third-party administrators – leverage our deep expertise and proven technology to administer benefit accounts for more than 30 million members and to process more than $9.1 billion in consumer healthcare payments annually. As the healthcare and benefit markets continue to evolve, Alegeus delivers solutions that enable clients to evolve their service offerings, operate their businesses more efficiently, and lead consumers to better health and financial decisions. The company is headquartered in Waltham, MA with operations in Orlando, FL and Milwaukee, WI.